ok so I’ll reply to you all on my other post shortly, thank you all for your support!!
I was thinking of asking my GP to step down my Seretide from 125/25 to 50/25 because the steroid is definitely doing less for me than the long acting reliever. I was also going to ask to switch back from Atrovent to Spiriva a) for convenience and b) to reduce the environmental impact of the propellant in line with current recommendations. Sticking with pMDIs not dry powder due to better lung deposition.
*However* this got me thinking: why not ask for everything to be consolidated into one? Would I be eligible for Trimbow? I don’t have a diagnosis of COPD but then again I just don’t have a diagnosis full stop. I’ve been on varying doses of Seretide for 8 years now and it’s been one of two constants in my treatment regime, through thinking I had asthma to severe asthma to not asthma at all, and the other constant has been Atrovent or Spiriva, essentially depending how I’m feeling 😂 I’m 24 lol I wanted my medication to look cool when I was a bit younger, what can I say 🤷♂️
So even though I don’t have a diagnosis, I have been consistently on an ICS, LABA, and LAMA (fluticasone, salmeterol, and ipratropium/tiotropium respectively) for 8 years now. Things might change when I get evaluated by my new respiratory team, of course, but is it worth asking to try Trimbow? I could even just change from Seretide to Fostair for a month or something to start with, so I’m not changing all three medications in one go, and then if that goes well, switch to Trimbow. Any thoughts?